Predictive power of HALP score in estimating short-term mortality in patients with acute pancreatitis

Abstract

BACKGROUND: To examine the hemoglobin, albumin, lymphocyte, and platelet (HALP) scores’ predictive power in predicting short-term mortality from acute pancreatitis (AP). METHODS: The study was conducted at the emergency department (ED) of tertiary care hospital. The medical records of patients who admitted to the ED and were diagnosed with AP were reviewed retrospectively. İt was analyzed that the ability of the HALP score in predicting short-term mortality of these patients. RESULTS: The study was achieved with a total of 634 patients. The mean age of these patients was 59.7±16.6 and 381 (60.1%) were female. While 42 (6.6%) of the total included patients were required to the intensive care unit, 58 (9.1%) died. To examine the HALP scores’ predictive power in predicting short-term mortality, the Receiver Operating Characteristic (ROC) analysis was utilized. The value of the area under the curve was found as 0.891 (95% CI: 0.833–0.949). When the cut-off value of the HALP score in determining short-term mortality is >15, the Sensitivity of the score was found to be 82.8%, Specificity 86.8%, Positive Predictive Value 38.7%, and Negative Predictive Value 98.0%. CONCLUSION: AP is a disease that requires early diagnosis and adequate treatment if not it can cause a high rate of mortality and morbidity. As a result of this study, it was concluded that the HALP score can be utilized during the prediction of short-term mortality for patients diagnosed with AP.

Comparison of nutritional risk indices (PNI, GNRI, mNUTRIC) and HALP score in predicting adverse clinical outcomes in older patients staying in an intensive care unit

“…In the present study, we found that HALP score was not a significant prognostic index at a cutoff value of ≤ 1.01 ( P = .30), a finding in line with that reported by Kocaoğlu et al [ 28 ] that HALP score is not effective in predicting prognosis in the ICU. However, in contrast, Güler et al [ 32 ] investigated the HALP score in predicting mortality in acute pancreatitis and found that at a cutoff value of > 15, HALP predicts short-term mortality (AUC = 0.891) with a sensitivity of 82.8% and a specificity of 86.8%, which was higher than that in our study.…”